As a Consultant Cardiologist my patients often ask me what can they do to improve their heart health? Although this may come as a surprise, exercise is one of the most effective ways in reducing the risk of developing heart disease. If you already have heart disease, exercise dramatically reduces the risk of further problems. It‘s important to realise as well that exercise does not have to mean running a marathon every week — the current NHS recommendation is to perform some form of moderate physical activity for a total of 150 minutes per week. This can for example include fast walking or cycling. Remember, things done in your everyday activities count towards this. How many times do you climb the stairs in the week for instance? Whilst for some people with heart disease even this may be very challenging, an exercise plan tailored to your level of fitness and exercise capacity is almost always achievable and evidence shows it has dramatic positive benefits, improving symptoms and increasing life expectancy. As a heart specialist, I understand it’s not just about tablets and high tech procedures – exercise can have a profound and positive impact on your health.